Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE M PETKOV, MD
ActiveTHEODORE M PETKOV, MD is a Emergency Medicine healthcare provider located in JOHNSON CITY, New York. NPI 1184616575 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · JOHNSON CITY, NY
Registration Details
- NPI Number
- 1184616575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.968815044851 yrs)
- Last Updated
- Nov 19, 2011
- License
-
165516 (NY)
Practice Information
- Address
-
33-57 HARRISON STJOHNSON CITY, NY, 137902143Browse NY providers · Browse ZIP 13790
- Phone
- 6077636412
- Fax
- 6077635854
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in JOHNSON CITY, NY
| Name | Credential | NPI |
|---|---|---|
| SABAH S TOMA | MD | 1558353946 |
| LILIANA LOFASO | MD | 1780677864 |
| TERESA A SACCO | DO | 1396738472 |
| STUART STILES | MD | 1750374518 |
| DR. MALSUK PARK | DO | 1902890759 |
| MAYSOON NAMAN | MD | 1851387104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.